Mrs Kelly Lynn Velasquez, PMHNP in Southaven, MS

Mrs Kelly Lynn Velasquez, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southaven, Mississippi. Her current practice location is 6858 Swinnea Rd Bldg 3b, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 420-2418.

Mrs Kelly Lynn Velasquez is licensed to practice in Mississippi (license number 905496) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922726512.

Contact Information

	Mrs Kelly Lynn Velasquez, PMHNP
	6858 Swinnea Rd Bldg 3b, Southaven, MS 38671-9493
	(662) 420-2418
	(855) 529-1633

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Lynn Velasquez
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6858 Swinnea Rd Bldg 3b, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922726512
Provider Enumeration Date: 08/18/2022
Last Update Date: 01/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2860847852
Enrollment ID: I20231011002224

Medical Identifiers

Medical identifiers for Mrs Kelly Lynn Velasquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922726512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	905496 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kelly Lynn Velasquez allows following entities to bill medicare on her behalf.

Entity Name	Kelly Velasquez Psychiatric Mental Health Nurse Practitioner Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033819511 PECOS PAC ID: 1951756949 Enrollment ID: O20231011001949

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Lynn Velasquez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kelly Lynn Velasquez, PMHNP 1651 Wood Lane Dr, Olive Branch, MS 38654-7355 Ph: (901) 568-8843	Mrs Kelly Lynn Velasquez, PMHNP 6858 Swinnea Rd Bldg 3b, Southaven, MS 38671-9493 Ph: (662) 420-2418

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Mrs Kelly Lynn Velasquez, PMHNP - Medicare Nurse Practitioner in Southaven, MS